Peterson, Black

Peterson, Black is an individual health care provider with primary practice located at 1304 Sunset Blvd # 203 , West Columbia SC 29169-5914. He recently has only one registered license in Allopathic & Osteopathic Physicians / Clinical Neurophysiology, which is considered as his primary health care specialty. Peterson, Black can be contacted via phone (888) 851-3677.

Contact Information

Primary practice address
1304 Sunset Blvd # 203 West Columbia SC 29169-5914
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Clinical Neurophysiology 2084N0600X 4700 South Carolina

Profile Details

NPI number 1447833173
LBN Legal business name Peterson, Black
Credentials CNIM
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 30th, 2021
Last updated Apr 30th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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